Diagnostic hysteroscopy should perform before or after IVF-ICSİ/et?

Purpose: This research aims to determine the statistical efficiency of office histeroscopy, that is performed before IVF-ICSI/ET procedure, on the live birth rate and cost efficiency perspective. Specifically, the effects of detecting intrauterin pathologies and fixing them via operations on office environment are examined. Setting: Çukurova University Faculty of Medicine Gynecology and Obstetrics Department, Reproductive Endocrinology and Infertility Discipilne, Assisted Reproductive Treatments Center Methods and Materials: During the period of 2014 - 2016, the patients, that are admitted to the infertility clinic and an IVF-ICSI/ET cycles planned after routine checks, are given detailed information on the histeroscopy and its possible effects on increasing the chance of pregnancy. Among these patient are labeled as Group I (n=65) with their consent. During the same process, a control group Group II (n=133) is formed among the patients who get IVF-ICSI/ET tratment without the histeroscopy. Further, the ones that are applied histeroscopy and that are detected to have regular uterus cavity labeled as Group Ia (n=47), whereas the ones diagnosed with intrauterin patalogy formed Group Ib (n=18). This way, these groups are contrasted with the control group on the basis of their live birth rates. Results: Determining the existence of an healty uterine cavity with the aid histerscopy or detection and correction of the intracavitary pathologies prior to IVFICSI/ET not significantly improves live birth rate. Key Words: IVF-ICSI/ET prior to hysteroscopy, intrauterine pathologies, live birth rate, hysteroscopy